Managed care
Total Longterm Care, INC.
Total Longterm Care, INC. was paid $6.78M by Medicaid between Apr 2019 and Nov 2024, across 70 billing codes. Its largest line is T2030, Assisted living, waiver; per month — 60% of everything it billed.
33Billing provider infoTOTAL LONGTERM CARE, INC.
LOVELAND, CO 80537
LOVELAND, CO 80537
33aNPI1184220485assigned 12/10/2020
33bProvider typeExclusive Provider Organization
28Total paid$6.78M
24GClaims37,881
24DCodes billed70
24AFirst – last monthApr 2019 – Nov 2024
Compared with peers
Next to other Exclusive Provider Organization providers in Colorado
Rank by total paid#2 of 5
Median peer was paid$6.34M
This provider vs. median1.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2019 | 773 | $49K | |
| 2020 | 494 | $40K | |
| 2021 | 4,772 | $1.63M | |
| 2022 | 5,326 | $1.88M | |
| 2023 | 13,375 | $3.18M | |
| 2024incomplete | 13,141 | $5K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| T2030 | Assisted living, waiver; per month | 60% | 4,260 | 3,892 | $4.08M |
| T2031 | Assisted living; waiver, per diem | 23% | 1,148 | 930 | $1.54M |
| A9999 | Miscellaneous dme supply or accessory, not otherwise specified | 4.9% | 4,006 | 3,078 | $334K |
| E1392 | Portable oxygen concentrator, rental | 2.5% | 2,056 | 1,589 | $168K |
| E1390 | Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | 1.5% | 1,410 | 1,292 | $99K |
| S5161 | Emergency response system; service fee, per month (excludes installation and testing) | 1.3% | 6,989 | 5,454 | $85K |
| E0601 | Continuous positive airway pressure (cpap) device | 1.2% | 1,583 | 1,302 | $84K |
| 11719 | <1% | 2,809 | 1,313 | $67K | |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | <1% | 368 | 76 | $50K |
| A0429 | Emergency ambulance ride, basic life supportAmbulance service, basic life support, emergency transport (bls-emergency) | <1% | 250 | 170 | $31K |
| A0428 | Ambulance service, basic life support, non-emergency transport, (bls) | <1% | 304 | 236 | $27K |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | <1% | 446 | 57 | $27K |
58 more codes
| A0425 | Ground mileage, per statute mile | <1% | 1,355 | $27K |
| A0427 | Emergency ambulance ride, advanced life support | <1% | 142 | $23K |
| E0265 | Hospital bed, total electric (head, foot and height adjustments), with any type side rails, with mattress | <1% | 550 | $16K |
| T2033 | Residential care, not otherwise specified (nos), waiver; per diem | <1% | 13 | $15K |
| 84443 | Thyroid stimulating hormone (TSH) | <1% | 836 | $11K |
| 82306 | Vitamin D; 25 hydroxy, includes fraction(s), if performed | <1% | 445 | $9K |
| A0433 | Advanced life support, level 2 (als 2) | <1% | 13 | $9K |
| 98941 | Chiropractic manipulative treatment; spinal, 3-4 regions | <1% | 328 | $9K |
| 80053 | Comprehensive metabolic panel | <1% | 1,039 | $8K |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | <1% | 73 | $8K |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 901 | $6K |
| E0431 | Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing | <1% | 445 | $6K |
| 85025 | Blood count; complete (CBC), automated, and automated differential WBC count | <1% | 775 | $5K |
| 80061 | Lipid panel | <1% | 448 | $5K |
| 99215 | Doctor's office visit, returning patient (complex) | <1% | 28 | $4K |
| 99306 | Prolong nursin fac eval 15m | <1% | 17 | $3K |
| K0001 | Standard wheelchair | <1% | 824 | $3K |
| 82607 | <1% | 399 | $3K | |
| E0562 | Humidifier, heated, used with positive airway pressure device | <1% | 167 | $2K |
| 17250 | <1% | 30 | $2K | |
| 80048 | Basic metabolic panel (calcium, ionized) | <1% | 345 | $2K |
| U0003 | Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r | <1% | 31 | $2K |
| 84439 | <1% | 195 | $2K | |
| E0570 | Nebulizer, with compressor | <1% | 147 | $2K |
| V5299 | Hearing service, miscellaneous | <1% | 54 | $2K |
| 11720 | <1% | 34 | $1K | |
| E1353 | Regulator | <1% | 268 | $1K |
| 82746 | <1% | 238 | $1K | |
| 85027 | <1% | 398 | $555.10 | |
| K0045 | Footrest, complete assembly, replacement only, each | <1% | 486 | $450.00 |
| A7038 | Filter, disposable, used with positive airway pressure device | <1% | 84 | $383.04 |
| 87086 | Culture, bacterial; quantitative colony count, urine | <1% | 62 | $365.93 |
| P9603 | Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | <1% | 19 | $256.97 |
| 82570 | <1% | 52 | $209.22 | |
| 83735 | <1% | 185 | $205.00 | |
| 81001 | <1% | 62 | $190.12 | |
| 82043 | <1% | 25 | $177.00 | |
| 92015 | Determination of refractive state | <1% | 15 | $150.00 |
| A4615 | Cannula, nasal | <1% | 15 | $120.00 |
| G0471 | Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (snf) or by a laboratory on behalf of a home health agency (hha) | <1% | 17 | $85.00 |
| 86480 | 0% | 13 | $0.00 | |
| 98960 | 0% | 28 | $0.00 | |
| 83970 | 0% | 12 | $0.00 | |
| 97163 | 0% | 48 | $0.00 | |
| A7031 | Face mask interface, replacement for full face mask, each | 0% | 17 | $0.00 |
| A7035 | Headgear used with positive airway pressure device | 0% | 21 | $0.00 |
| 97167 | 0% | 59 | $0.00 | |
| E0184 | Dry pressure mattress | 0% | 39 | $0.00 |
| 77080 | 0% | 15 | $0.00 | |
| A4604 | Tubing with integrated heating element for use with positive airway pressure device | 0% | 21 | $0.00 |
| 82652 | 0% | 31 | $0.00 | |
| 83540 | 0% | 14 | $0.00 | |
| A7030 | Full face mask used with positive airway pressure device, each | 0% | 14 | $0.00 |
| S5102 | Adult day care, billed per day | 0% | 114 | $0.00 |
| E1038 | Transport chair, adult size, patient weight capacity up to and including 300 pounds | 0% | 190 | $0.00 |
| E0277 | Powered pressure-reducing air mattress | 0% | 28 | $0.00 |
| 83550 | 0% | 14 | $0.00 | |
| 82728 | 0% | 14 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialWASHINGTON, GAYLE (CREDENTIALING COORDINATOR)
Parent organizationTOTAL LONGTERM CARE, INC.
| Provider | Location | Paid |
|---|---|---|
| Total Longterm Care, INC. | Aurora, CO | $22.47M |
| Total Longterm Care, INC | Lakewood, CO | $20.92M |
| Total Longterm Care, INC. | Thornton, CO | $12.51M |
| Total Longterm Care, INC | Pueblo, CO | $2.54M |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.